PMT17-03016 City of Menifee Permit No.: PMT17-03016
29714 HAUN RD.
4'�;%CCELA— MENIFEE, CA 92586 Type: Residential Addition
MENIFEE Date Issued: 08/25/2017
PERMIT
Site Address: 27613 LANHAM, MENIFEE, CA 92584 Parcel Number: 360580-018
Construction Cost: $5,200.00
Existing Use: 1 &2 Family Residence Proposed Use:
Description of INSTAL 14X50 ALUMINUM WOOD SOLID PATIO COVER WITH 3 CEILING FANS, 1 RECEPTACLE&
Work: ELECTRICAL TO REAR PROPERTY 1 RECEPTACLE
Owner Contractor
DAVID GAVINUEX SUN-TECH BUILDER
27613 LANHAM ST 23905 CLINTON KEITH RD 114#137
MENIFEE, CA 92584 WILDOMAR, CA 92595
Applicant Phone: 9516961146
KEVIN BURKHARD License Number:612037
SUN-TECH BUILDER
23905 CLINTON KEITH RD 114#137
WILDOMAR, CA 92595
Fee Description O_yt Amount f$1
Receptacle, Switch, Outlet&Fixture 5 136.00
Building Permit Issuance 1 27.00
Deck/Patio, standard 1 83.00
GREEN FEE 1 1.00
SMIP RESIDENTIAL 1 1.00
General Plan Maintenance Fee-Building 1 4.15
General Plan Maintenance Fee-Electrical 1 6.80
$258.95
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carried on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Permit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuantto the Contractors State License Law).
Chapter9(commencing with section 7000)of Division 3 of the Business and ❑I am exempt from licensure under the Contractors State License Law for
Professions Cade((a�pd my license is in full force and effect. the following reason:
License Class Jam/ License '. v/L037 By my signature below I acknowledge that,except for my personal residence
Expires �i! Q Signature in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that I
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by
❑I hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Code,for the performance of work for which yew,w.leeinfo.ca.eov/calaw.html.
this permit is issued.
Policy# Date
❑I have and will maintain workers compensaton insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property
this permit Is issued.My workers compensation Insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are: application and the information I have provided is correct. agree to comply
with all applicable city and county ordinances and state laws relating to
Carrier building construction.I authorize representatives of this city or county to
Policy# Expires enter the above identified property for Inspection purposes.
(This section need not to be completed is the permit is for one-hundred
do ars($100)or less Date
PROPERTY OWNER OR AUTHORIZED AGENT
I cer*that in the performance of the work for which this permit is issued,
is II not employ any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers compensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to the workers co pensat(on provisions of Section 3700 of the Labo
Code,I shall forthwith ch6plyArth those provisions. Willthe applicant or future building occupant handle hazardous material or a
� 1/y
Applicant ' Date Z mixture containing a hazardous material equal to or greaterthatthe
amou°tssssiecifled on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATIO COV AGE IS ❑Yes Mo
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for gu' el' es
CONSTRUCTION LENDING AGENCY ❑Yes/No
I hereby affirm that under the penalty of perjury there is a construction Will the
p��`��`roposed building or modified facility be within 1000 feet of the
lending agency for the performance of the work which this permit is issued outer dary of a school?
(Section 3097 Civil Code) ❑Yes No
OWNER BUILDER DECLARATIONS 1 have rea the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the permitting checklist.I understand my requirements under the State of
Contractors License Law for the reason(s)indicated below by the haz Calif rniu Health&Safety Code,Section 25505 and 25534 concerning
er us aterial reporting.
checkmark(s)I have placed next to the applicable Item(s)(Section 7031.5 ayes 0
Business and Professions Code).Any city or county that requires a permit to Date
construct,alter,improve,demolish or repair any structure,prior to its PROPERTY OWNER OR AUTHORIZED AGENT
issuance,also requires the applicant for the permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRP)
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she is exempt from licensure receiving compensation for most work that disturbs paint In a pre-1976
and the basis for the alleged exemption.Any violation of Section 7031.5 by
an Applicant for a permit subjects the applicant to a civil penalty of not more residence or childcare facility to be RRP-certified firms and comply with
than($500), required practices.This Includes rental property owners and property
managers who do the paint-disturbing work themselves or through their
❑1,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and the structure is www.epa.eov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business and Professions 1-BDD-424-LEAD(5323).
Code;The Contractors State License Law does not apply to an owner of a
property who,through employees'or personal effort,builds or improves the An EPA Lead-Safe Certified Renovator will be responsible for this project
property provided that the improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Firm Certification No.:
completion,the Owner-Builder will have the burden of proving that it was
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required forthis project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
BUILDING i SAFETY PERMIT/PLAN CHECK APPLICATION
Men fee
DATE / PERMIT/PLAN CHECK NUMBER T 1
TYPE: O COMMERCIAL XRESIDENTIAL C MULTI-FAMILY 0 MOBILE HOME O POOL/SPA ^SIGN
SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL
O NEW O PLUMBING O RE-ROOF-NU"M�BER OF SQUARES
DESCRIPTION OfWDBK Iq)x�a� `UNI) LA)000 T d
11
w r7 c H LEZ,7*I GA L ?0 1�EA ? /
PROJECTADDRESS 'Z-7 613
ASSESSOR'S PARCEL NUMBER .y Q:�SQ0I g'1 LOT ts- TRACT 7Z
OWNER NAME y�.Vl 06
ADDRESS lot 3 AdAIA m S?
PHONE q 5 1- 7 7 6 -q-?n EMAIL
APPLICANT NAME •/1
ADDRESS
PHONE EMAIL
CONTRACTOR'S NAME t UJ� OWNER BUILDER? C, YES ^ NO
BUSINESS NAME ` J,�y /
ADDRESS ct o
PHONE �s - 61
/ - 11,1-.6 EMAIL �J
CONTRACTOR'S STATE LIC NUMBER V/2a_37 LICENSE CLASSIFICATION 1-
VALUATION $ SWO J 00 SO FT L SO FT
APPLICANT'S SIGNATURE DATE
DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE GREEN I W SMIP {a -
INVOICE PAID AMOUNT
AMOUNT OCASH OCHECK# OCREDITCARD VISMC
PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK# 0 CREDIT CARD EA/l
COWNER BUILDER VERIFIED O YES O NO DL NUMBER NOTARIZED LETTER 0 YES
City of Men,f ee Building &Safety Department 29714,Hour, Rd. Meni,{ee, CA 92585 551-572-6777
ww.v.Cityofinenifeaus Inspection Request i ine 951-245-6213
Carl Putnam P.E.
3441 Ivylink Place
• Lynchburg,VA 24503
Carl Putnam, P.E.
February 3, 2017
Mike Adams
United Duralume Products, Inc.
350 S. Raymond Ave.
Fullerton, CA
Dear Mike:
I am the engineer of record for standard plan, United Duralume Patio Cover. Carport and
Commercial Engineering. These plans have been approved under the 2015 IBC as ICC
Evaluation Service Report#2676. For these structures the 2016 CBC is identical to the
2015 IBC and it is acceptable to build structures within the scope of this plan under the 2016
CBC.
It is acceptable for copies of these plans to be used to obtain building permits. I can provide
an electronic version for comparison if desired.
Please contact me at(434)384-2514 or at carlputnam(o)comcast.net if you require further
information.
Sincerely,
Carl Putnam, P.E. ��SgtC G
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JUN 09 2017
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